As we begin to age, the upper eyelid skin loses elasticity, resulting in the skin sagging. This sagging worsens over time to the extent that the upper eyelids may appear droopy, and excess skin may appear to rest on the upper lashes. Additionally, fatty pads that normally cushion the eye may begin to bulge or herniate beneath the lower eyelids, resulting in a puffy appearance. Blepharoplasty (eyelid surgery) can correct sagging eyelids and provide a significantly more youthful and refreshed appearance.

Who Can Benefit From Blepharoplasty?

Blepharoplasty Patient

Saggy Upper Eyelids

Dermatochalasis is the age-related reduction in skin elasticity that causes excess upper eyelid skin. A rare genetic condition called blepharochalasis is when recurrent upper eyelid edema leads to eyelid skin redundancy even in younger adults. Both types of saggy upper eyelids can be corrected with blepharoplasty. This surgery removes excess skin and fat and repositions the upper eyelid tissues to create a more youthful appearance.



Blepharoplasty Patient

Puffy, Baggy Lower Eyelids

Both dermatochalasis and blepharochalasis can lead to excess skin and fat in the lower eyelids as well as the upper eyelids. These conditions create a puffy appearance marked by bags under the eyes. Under-eye bags may give you a constantly tired, worn-out, sad, or even angry look. Blepharoplasty removes excess tissue and repositions the displaced fat and skin to create softer and smoother lower eyelids.



Blepharoplasty Patient

Blocked Visual Range

Excess skin in the upper eyelids can result in some blockage of the person’s visual range. If your upper eyelids hood over your eyes and prevent you from being able to see clearly, blepharoplasty can correct your condition. This procedure can provide functional benefits as well as cosmetic benefits and will remove the excess upper eyelid skin that is blocking your full sightlines.

Blepharoplasty Procedure

Dr. Rousso uses a strategic and artistic approach with every blepharoplasty procedure. Depending on your goals, Dr. Rousso may recommend and perform upper blepharoplasty, lower blepharoplasty, or both procedures together to rejuvenate your eyelids.

Upper

Blepharoplasty

You will be given anesthesia in the form of IV monitored sedation to prevent pain during your upper blepharoplasty. Once the anesthesia has taken effect, incisions are placed in the natural upper eyelid creases so that any scarring is hidden. Excess skin and fat are removed to reverse any hooding, sagging, and puffiness in the upper lids. After excess tissue is removed, the tissues of the upper eyelids are repositioned to rejuvenate their appearance, reduce wrinkles and sagging, and eliminate a puffy appearance. The procedure may take up to one hour. The result will be smoother, tighter, and younger-looking upper eyelids.

Upper blepharoplasty is performed for patients who need correction of saggy, baggy, and/or puffy upper eyelids. It may be performed alone, with lower blepharoplasty, or with other facial rejuvenation surgeries to achieve optimal results.

Lower

Blepharoplasty

You will be given anesthesia in the form of IV monitored sedation to prevent pain during your lower blepharoplasty. Once the anesthesia has taken effect, incisions will be placed either right below the lower lash line or on the inside of the lower eyelids. Excess fat and skin will be removed before fat is relocated as necessary to get rid of bags under the eyes. The procedure may take up to one hour. This surgery can greatly reduce puffiness and results in a more youthful, awake, and refreshed appearance.

Lower blepharoplasty is performed on patients who need correction of saggy, baggy, and/or puffy lower eyelids. It may be performed alone, with upper blepharoplasty, or with other facial rejuvenation surgeries to achieve optimal results.

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Before and After Photos

Patient Before and After 1
Patient Before and After 2
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Factors to Consider

Candidate Qualifications

Candidates for blepharoplasty have puffy, saggy, and/or baggy eyelids. These may be limited to the upper eyelids or lower eyelids, or issues may be present in both areas. Excess skin may appear to rest right on the upper eyelid lash line, affecting your appearance and possibly your vision. Bulging fat pads beneath the eyes can create a puffy appearance that causes others to perceive you as angry, sad, tired, or elderly/aged. Candidates should be in good general health and should not have any major eye problems.

Pain

Patients do not typically experience significant pain after eyelid surgery. A mild pain reliever is usually sufficient to control any discomfort. Patients are more likely to experience a sensitivity to light during the first week or two. Avoid bright sunlight and keep the lights dimmer than usual to reduce discomfort until your light-sensitivity levels return to normal.

Recovery

The recovery after blepharoplasty is generally mild. Patients are expected to rest their eyes as much as possible for several days. It is common for patients to experience some blurred vision for several days as well as temporary swelling, bruising, dryness, and/or tearing. The recovery takes only about five to seven days before most people can return to work.

Results

Blepharoplasty results can be seen within a few days to a few weeks after the procedure as the tissues begin to heal. The eyelids will look more youthful, and their baggy and puffy appearance will be gone. As bruising and swelling subside, you will be able to enjoy your newly refreshed and youthful appearance.

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Frequently Asked Questions

What issues does blepharoplasty correct?

Blepharoplasty can rejuvenate the eyelids by correcting sagging eyelids and puffiness caused by excess skin and displaced fat. It also corrects any upper eyelid hooding that blocks your visual field. Blepharoplasty cannot correct dark circles, lift sagging brows, or directly address fine lines or wrinkles around the eyes. Nonetheless, the removal of excess skin through blepharoplasty often reduces the number of wrinkles around the eyes.

What procedures can be combined with blepharoplasty?

Blepharoplasty may be performed with facial procedures such as brow lift surgery, facelift surgery, rhinoplasty, cheek and/or chin augmentation, laser skin resurfacing, and lip enhancement to achieve optimal results.

Will insurance cover my blepharoplasty?

Cosmetic blepharoplasty is not covered by insurance, but functional blepharoplasty may be covered. If your vision is severely affected due to a redundancy of skin to the extent that vision is lost peripherally and/or superiorly, functional blepharoplasty is the solution, and insurance may cover the surgery.

Will I have any scars after blepharoplasty?

The incisions for blepharoplasty are short and inconspicuous. Any potential scarring is hidden below the lower lashes, inside the eyelids, or within the natural upper eyelid creases. Once the eyelids have healed, no noticeable scarring is expected.

How long do the results of blepharoplasty last?

The results of eyelid surgery tend to be long lasting, especially when patients use eye protection and skin care. Because the tissues will continue to age, a regular skin care routine is recommended to keep the skin healthy and slow the rate of aging.

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